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APSHO Advance: Special COVID-19 Series

In response to the critical need for continued oncology care during the COVID-19 pandemic, APSHO is bringing you this special series of stories from oncology advanced practitioners about their COVID-19 experiences, strategies for managing this crisis, and ways we can take care of ourselves, our families, and our colleagues.

Pain management is an essential part of oncology care. During the COVID-19 pandemic, accessibility to prescribers has been limited. Recognizing this barrier, the DEA modified some restrictions to access.

In late March, CMS made temporary changes to certain hospice regulations in order to allow hospice programs to continue providing care and support to terminally ill patients and their families.

AP Role

Strategies for a Phased-in Approach to Oncology Care in the Era of COVID-19On Thursday, June 11, at 2:00 pm EDT, APSHO will be
hosting a live, interactive webinar to discuss how to begin reopening
oncology care back to its fullest capabilities. Modeling the CDC
guidelines for reopening America, this webinar will direct learners in
applying these guidelines to the practice of oncology.

How are cancer centers dealing with patients who need to come into the treatment facility for radiation therapy? Kaitlyn Coucoules, MS, PA-C, of Moffitt Cancer Center, describes Moffitt’s collaborative approach to reducing the risk of transmission while providing therapy to the patients who need it most.

Updated Guidance on Billing for TelehealthOn April 29, the CMS issued updated guidance on Medicare telehealth, recognizing that some Medicare beneficiaries do not have access to or choose not to use interactive audio-video technology.

AP Role

Enduring Financial Toxicity in Health-Care SystemsHealth-care systems are experiencing unprecedented financial stressors as they take on the costs of converting beds, buying equipment, implementing virtual health-care protocols, and more. At the same time, access to
health care is becoming even more financially unattainable.

Conducting Research During the COVID-19 PandemicThe COVID-19 pandemic has had a tremendous impact on the conduct of clinical trials worldwide. The authors discuss anticipating, mitigating, and adapting to various challenges to clinical trial operations while maintaining the safety of staff and patients.

AP RoleDelivering Bad News During a PandemicHaving difficult conversations is intrinsic to being an oncology AP, but as these conversations happen more often via telephone or video conference, it is more important than ever to have honest and open communication, especially at the end of life.

Paige M. Goforth, PA-C, is taking up the task of crafting masks and speaks to APSHO on key considerations when making them, including distinguishing between different types and creatively utilizing the supplies we have at home.

The editor of the APSHO Advance, Pamela Hallquist Viale, RN, MS, CNS, ANP, reflects on the roles of health-care providers—both those at the bedside and those who are removed from direct patient care—and the rise of telehealth
use to minimize the risk of infection.

The current global health crisis is affecting ongoing and future oncology clinical trials in different ways, creating new challenges in staff availability but also opportunities for using telehealth creatively.

As the COVID-19 pandemic brings nonessential travel to a near standstill, health-care systems are innovating ways to utilize technology and continue to provide high-quality care. Listen to this conversation to find out how
in only 2 weeks UCHealth expanded telehealth services in response to the pandemic.

As advanced practitioners care for patients battling the novel coronavirus, find innovative and safe ways to continue treating their current patients, and keep up with the constant, day-to-day changes, it’s just as important
for them to prioritize their own self-care.

Sandra E. Kurtin, PhD, ANP-C, AOCN®, reflects on the pandemic and describes a list of strategic directives that she and her team developed and deployed to limit the exposure of patients, providers, and staff.

As the number of confirmed COVID-19 cases increases in the United States, Dwight Macero, PA-C, MS, in Colorado knew he wanted to help. But little did he know at the time, he would be aiding the effort as a patient.